F474001 Supplier Self Evaluation
F474001 Supplier Self Evaluation
ORGANIZATION DETAILS
Facility Name
Address
Representative
Phone Fax Email
Manpower Total Male Female
Monthly Capacity process
Major Customers
Fire Extinguishers ABCE CO2 Toilets Male Female First Aid Box
Questionnaire
1. What is the lowest age of a worker working in your Factory?
2. Do you have any workers under the age of 18?
3. Does this facility verify the age of workers during recruitment?
4. Do you have signed copy of appointment letter with each
worker?
5. Do you have personal file with evidence of the date of birth?
6. Do you have an equal opportunities policy?
7. Do you have a written policy that deals with sexual harassment,
racial harassment and employment denied on the basis of
nationality, religion, race, cast, tribe, gender, disability, sexual
orientation, religious belief?
8. Have you received a code of conduct covering labour standards?
9. How the COC been communicated to workers?
10. Do you Provide workers with appropriate PPE for free of
charge?
11. Do you have adequate equipped first aid boxes in every area of
factory?
12. Do workers have adequate supply of pure drinking water
accessible to them?
13. Is this factory well lit and ventilated?
14. Is rubber mat provided beneath the electric control box?
15. Are machine safety ensured?
16. Are ear plugs provided to workers where needed?
Supplier Self Evaluation
Manta Apparels Ltd. F/4/74001-Rev.00: Issue.01
Prepared By:
Name
Designation
Date
Signature & Chop